Thank you for stepping up to be a mentor! The Future Link Mentor Program requires a one year commitment to communicate weekly with your mentee. Your role will be to advise, encourage, and empower your mentee to navigate through educational requirements and access a sustainable career pathway.

Future Link staff is always available to support you in your mentorship.

All information on this application is kept confidential. Only your name, email address, phone number, career field and employer are shared with mentees.

We look forward to introducing you to your mentee!

Full Name
*

First Name Last Name

Gender
*

Female Male

Email (to be shared with mentee):
*

Cell Number (to be shared with mentee):
*

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Area Code Phone Number

Address
*

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Career Field:
*

Education - Degrees Earned:
*

Languages Spoken other than English:

Other Volunteer Activities:

Please list any skills, qualities, hobbies, experiences, or other attributes you feel can help us match you with a mentee:
*

What do you think will be most challenging about being a mentor?
*

How did you hear about Future Link?
*

When are you available to start mentoring?

Employer/Organization:

Title/Position:

Employer Address:

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Work E-mail:

Work Phone Number:

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Area Code Phone Number

Does your employer/organization promote volunteer activities?

Yes No

Please indicate what support or resources your company may be willing to provide Future Link?

REFERENCES: Please list 3 individuals who can provide a character reference with at least one reference being an employer.

Full Name
*

First Name Last Name

E-mail

Phone Number

-
Area Code Phone Number

How do you know this individual?

Full Name
*

First Name Last Name

E-mail

Phone Number

-
Area Code Phone Number

How do you know this individual?

Full Name
*

First Name Last Name

E-mail

Phone Number

-
Area Code Phone Number

How do you know this individual?

CONFIDENTIAL: We require the following information from all mentors working with youth. Affirmative answers may not necessarily disqualify you from our program.

Do you use illegal drugs?
*

Yes No

Are there pending criminal charges against you?
*

Yes No

Have you ever been convicted of a felony offense?
*

Yes No

Have you ever been charged with child neglect or abuse?
*

Yes No

Is there any fact or circumstance involving you or your background that could call into question your being entrusted with working with youth?
*

Yes No

If yes, please explain:

Birth Date
*

-
Month
-
Day Year

Please read before signing:

I certify that the above information is true and complete to the best of my knowledge.

I have not and will not withhold information that would unfavorably affect my status as a mentor.

I consent to Future Link verifying all information contained herein and to contacting my references.

I consent to the use of my photograph and statements by Future Link for any non-commercial purpose associated with the program including, but not limited to, newsletters, social media, and news media coverage of Future Link and its programs and fundraising.

To respect the privacy of our students, I will submit for pre-publication review by the Executive Director of Future Link, any document originating from participation in this program.

I will contact the Future Link Director of Student Support Services if I have any problems or concerns about my mentoring relationship.

I agree to complete my commitment of meeting regularly with my mentee (at mininum, weekly for the first 3 months and bi-weekly after that) for a period of one year and act, at all times, in the best interests of the individual I am mentoring.